Northern Ireland Civil Service Athletics Club

Membership Application / Renewal 2018

Background The NICS Athletics Club (NICS AC) has been set up to promote athletics in the NICS, in particular road and cross country running and track and field. It is registered with Athletics NI (ANI) the governing body for athletics in Northern Ireland. NICS AC is a ‘closed’ club affiliated to the NI Civil Service Sports Association (NICSSA), which means that membership of the club is only open to:- a. public servants or ex-public servants who are also members of the NICSSA, such members will be known as Full Members; and b. the spouse, partner, family member or friend of a Full member who is a Junior, Student, Joint or Joint Senior member of NICSSA and is sponsored by a Full member. Such members will be known as Associate members. In the case of Joint and Joint Senior categories the Associate member will partner their sponsoring Full member for Joint NICSSA membership.

Membership Fees The annual membership fee is £10 or (£20 if you wish to be registered with Athletics NI). Associate members must pay the same fee in their first year with the club (Juniors aged 16 pay the full fee, Juniors aged 13-15 years pay £15 to be registered, under 13 can be registered free). Becoming a registered athlete with Athletics NI entitles you to a discount on Athletics NI recognised race entry fees. Both prospective and existing club members should complete the appropriate attached Application / Renewal Form. Completing the form is essential to allow an accurate record to be kept of fees paid and to keep member details up-to-date. Preferably membership forms and cheques (made out to NICS Athletics Club) should be sent to the Secretary by Civil Service courier or, where necessary, by Royal Mail. Alternatively, membership forms and payment (cheque or cash) can be handed to a member of the committee. Note that committee members cannot accept membership fees unless accompanied by a completed membership form.

Associate Member Fees. First Year of membership Subsequent years Club membership With ANI Registration Club membership With ANI Registration Joint / Joint Senior / £10 £20 £2 £12 Student Junior Under 13 £10 £10 £2 £2 Junior 13-15 £10 £15 £2 £7 Junior 16 £10 £20 £2 £12

Are you a member of another NICSSA Sport/Leisure club? If you are please let us know on the attached form. If you are a member of more than one NICSSA sport / leisure club NICCSA will only provide funding to one club and you need to tell NICCSA which club you would like to be affiliated to for funding purposes. If you have any queries about this please contact a committee member.

Club Constitution A copy of the club constitution can be obtained by contacting any committee member or on the Club Website www.nics-ac.com .

Mary Robb Secretary

Note: Unless a Sports Association Number is given the application / renewal cannot be accepted. Northern Ireland Civil Service Athletics Club FULL MEMBER – APPLICATION / RENEWAL DETAILS 2018

All prospective Full members are required to complete the following details. I wish to apply for / renew my membership of the NICS Athletics Club and include the £10/£20 payment. I agree to abide by its Constitution and rules.

Signed...... Date………………

Full Name

Place of work. Department or Public Body. (If retired give former place of work). Contact Address (Office or Home). Provide your home address if you want to be registered with Athletics NI Contact Telephone Number

Contact e-mail address

NICS Sports Association Number (found on the back of your Membership Plus card) Tick here for normal membership and include £10 Membership only payment with your application Membership and Athletics Tick here if you want to be registered NI Registration with Athletics NI and include £20 Date of Birth payment with your application. Member of another Athletic Club? Give name Member of any other Yes NICSSA sport / leisure Name of Club______Club? No

All application / renewal forms and fees should be sent to the Secretary: Mary Robb, Department for Communities, Level 3, Causeway Exchange, 1-7 Bedford Street, Belfast BT2 7EG

Note: Unless a Sports Association Number is given the application / renewal cannot be accepted. Northern Ireland Civil Service Athletics Club ASSOCIATE MEMBER – APPLICATION / RENEWAL DETAILS 2018 All prospective Associate members are required to complete the following details. I wish to apply for / renew my membership of the NICS Athletics Club and include the appropriate membership fee payment. I agree to abide by the NICSAC Constitution and rules.

Signed...... Date………………

Full Name

Contact Address (Office or Home). Provide your home address if you want to be registered with Athletics NI Contact Telephone Number

Contact e-mail address

NICS Sports Association Number (found on the back of your Membership Plus card) Sponsoring Full Member's name and signature Name: ______Signature: ______

Associate Member Type Joint Joint Senior Student Junior Applied for Tick here if you want to be registered Athletics NI Registration with Athletics NI and include Date of Birth required appropriate payment with your application. Member of another Athletic Club? Give name Member of any other Yes NICSSA sport / leisure Name of Club______Club? No

All application / renewal forms and fees should be sent to the Secretary: Mary Robb, Department for Communities, Level 3, Causeway Exchange, 1-7 Bedford Street, Belfast BT2 7EG

Note: Unless a Sports Association Number is given the application / renewal cannot be accepted.